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Actual and perceived nursing workload and the complexity of patients with total hip arthroplasty
- Source :
- Applied nursing research : ANR, 39, 195-199. W B SAUNDERS CO-ELSEVIER INC
- Publication Year :
- 2018
- Publisher :
- Elsevier BV, 2018.
-
Abstract
- Background: Little is known about the relation between patient complexity and nursing care of total hip arthroplasty (THA) patients. To improve patient care and hospital logistics, the aim of this study is to gain insight into the relation between patient complexity and the nursing staffs actual and perceived workload at an orthopedic ward during admission for a THA.Design: Prospective cohort study of 45 THA patients in the year 2014. Duration and type of nursing care activities were recorded during the first postoperative morning. A questionnaire was used to analyze the perceived workload of the nursing staff. Both actual and perceived workload were analyzed for their relation with patient complexity, expressed in the American Society of Anesthesiologists (ASA) score, Charlson comorbidity index (CCI), Katz Activities of Daily Life score (Katz-ADL) and Body Mass Index (BMI).Results: No relation was found between actual workload and measures for patient complexity. The perceived workload of the nursing staff was related to two complexity measures: ASA (r = 0.71; p Conclusion: Patient comorbidity is related to the perceived workload of the nursing staff during admission for a THA. Patient complexity is not related to actual workload. This study gives a first insight into the relation between patient comorbidity and nursing staff workload, to try to improve staffing numbers at the ward as well as patient care in the process.
- Subjects :
- Adult
Male
medicine.medical_specialty
Arthroplasty, Replacement, Hip
Staffing
Nurses
Comorbidity
Workload
CO-MORBIDITY
Nursing Staff, Hospital
Cohort Studies
03 medical and health sciences
Nursing care
0302 clinical medicine
Surveys and Questionnaires
LENGTH
Humans
Medicine
Prospective Studies
030212 general & internal medicine
Prospective cohort study
General Nursing
Aged
Retrospective Studies
030504 nursing
business.industry
CARE
Middle Aged
medicine.disease
HOSPITAL STAY
REPLACEMENT
Orthopedic surgery
Physical therapy
Length of stay
Total hip arthroplasty
ASA classification
Female
Nursing Care
0305 other medical science
business
Body mass index
COSTS
Subjects
Details
- ISSN :
- 08971897
- Volume :
- 39
- Database :
- OpenAIRE
- Journal :
- Applied Nursing Research
- Accession number :
- edsair.doi.dedup.....1a112b82e3e03c7c14633d2b1a06d448